[
Abstract]
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J.Jpn. Surg. Soc.. 62(2): 204-223, 1961
TIME IN COURSE RADIOLOGICAL STUDY OF ALTENATION OF SIZE OF THE GALL BLADDER FOLLOWING AN INJECTION OF 50 % BILIGRAFIN, WITH SPECIAL EMPHASIS ON BILIARY DYSKINESIA.
Radiography was taken every 30 minutes after an intravenous injection of 50% Biligrafin until 2 hours after the investigation. The study was continued until 6 hours with one film every one hour. Size of the gall bladder was calculated on each film by a planimeter, and types of these changes were compared. Cases in this study are including 21 biliary dyskinesia, 15 normal persons, 11 cholecystitis, 10 gastroptosis and 10 gastroduodenal ulcer.
On each case, ratio to the maximum size was calculated. Special attentions were payed on the following factors; viz. grade of enlargement, time reached to the approximate maximum size, contraction before reaching to the maximum size, time reached to the maximum size, time starting to contract, degree of contraction etc. Follow}ng these analysis type of these changes were thoroughly studied.
From the view point of changing curve, all cases were devided into four groups.
Type I. shows moderate or minimum enlargement, and reaches to approximate maximum size in early stage and also presents a high degree of contraction.
Type II. shows similar type of contraction with type I, but presents gradually increasing great deal of enlargement. Type III. shows gradually increasing great deal of enlargement but presents almost no contraction.
Type IV. shows a minimum change of enlargement and eontraction.
Normal cases presented their curves constantly to be type I. and cholecystitis to be type IV. Biliary dyskinesia showed all of these four types, however type III. was the most common. And type II. and type III. aresignificantto this kind of disfunction. Most of gastroptosis and gastroduodenal ulcer showed normal viz. type I. However, occasionally the former showed type IV. and the latter showed type II. After an adequate t reatment of biliary dyskinesia their findings changed to type I.
These changes are showing function of the biliary tract roentgenologically, and this kind of study will be very significant on study of biliary dyskinesia.
(Author's abstract)
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